Patient's question:
I am a 72-year-old male who has been retired for 10 years. For over a decade, every physical examination has pointed out benign prostatic hyperplasia, but it has not been taken seriously.Doctor's answer:
Surgery remains an important treatment for benign prostatic hyperplasia. The indications for surgery include: ① Presence of lower urinary tract obstruction symptoms with significant changes in urodynamic tests, or residual urine volume exceeding 60 mL; ② Severe unstable bladder symptoms; ③ Induced upper urinary tract obstruction and renal damage; ④ Multiple episodes of acute urinary retention, urinary tract infection, or gross hematuria; ⑤ Complicated with bladder stones. For patients with long-term urinary tract obstruction, significant renal damage, severe urinary tract infection, or acute urinary retention, a catheter should be inserted first to relieve the obstruction. Surgery should be performed only after the infection is controlled and renal function recovers. If catheter insertion is difficult or prolonged, leading to urethritis, suprapubic cystostomy may be an alternative. The indications for emergency transurethral resection of the prostate (TURP) must be strictly controlled.